Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Joan Bourbin, LACSW-R

Individual provider Clinical Social Worker · NPI 1700958212

Susan Joan Bourbin, LACSW-R is a Clinical Social Worker in Farmingville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

15 Horseblock Pl
Farmingville, NY 11738 Not confirmed with CMS for 19 years — call before visiting
Phone: (631) 854-2552
Fax: (631) 854-2550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence RO49752-1 (NY)

Record details

NPI number1700958212
Entity typeIndividual (Type 1)
GenderFemale
Credentials LACSW-R
Sole proprietorYes
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 8, 2007

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